Provider Demographics
NPI:1689850950
Name:BANBURY, ALLISON ELISABETH (LCPC, NCC, LPCMH)
Entity type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:ELISABETH
Last Name:BANBURY
Suffix:
Gender:F
Credentials:LCPC, NCC, LPCMH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 HUXLEY CIR
Mailing Address - Street 2:
Mailing Address - City:ABINGDON
Mailing Address - State:MD
Mailing Address - Zip Code:21009-1744
Mailing Address - Country:US
Mailing Address - Phone:443-286-4146
Mailing Address - Fax:
Practice Address - Street 1:18 HUXLEY CIR
Practice Address - Street 2:
Practice Address - City:ABINGDON
Practice Address - State:MD
Practice Address - Zip Code:21009-1744
Practice Address - Country:US
Practice Address - Phone:443-286-4146
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-16
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC-12859101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health